JENNIFER LEE LOPEZ
NPI 1790122042
Marriage & Family Therapist in Riverside, CA

Q: What is Jennifer Lopez's NPI number?

The NPI number for Jennifer Lopez is 1790122042. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Q: What is Jennifer Lopez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lopez was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 28, 2013PECOS EnrolledAccepts Medicare Assignment

555 TECHNOLOGY CT, RIVERSIDE, CA 92507(951) 686-8500 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 17, 2018, Nov 2, 2017 (2 updates tracked since 2017).

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About Jennifer Lee Lopez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LEE LOPEZ (NPI 1790122042) is an individual marriage & family therapist in Riverside, California and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fullerton, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1790122042

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJENNIFER LEE LOPEZ

Location Address555 TECHNOLOGY CTRiverside, CA 92507-2155

Mailing Address19055 Rockwood DrYorba Linda, CA 92886-5446 · (714) 872-1089

Phone(951) 686-8500

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 28, 2013

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1790122042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

555 TECHNOLOGY CT, Riverside, CA 92507

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Secondary Practice Location 1

Location 1100 E Valley View DrFullerton, CA 92832-1321 · Phone (714) 680-9000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Lee Lopez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103302195

PECOS Enrollment IDI20260108004374

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATTI ROSENBERG

Marriage & Family Therapist